Neurocysticercosis as the main cause of late-onset epilepsy in Mexico.
We studied 100 consecutive Mexican patients with epilepsy that started after the age of 25 years. All patients underwent clinical evaluation, computed tomography, and electroencephalography; additionally, cerebrospinal fluid analysis was performed in 82 of them. Neurocysticercosis or its sequelae were diagnosed in 50 patients (50%); 36 of these patients had partial seizures, 41 had parenchymal calcifications, and 15 had two or more lesions. Our results are in contrast with those of most studies from countries with a low incidence of neurocysticercosis, where brain tumors, cerebrovascular disease, trauma, and alcoholism are the main causes of tardive epilepsy.
Medina
M T
MT
National Institute of Neurology and Neurosurgery, Mexico City, Mexico, DF.
Rosas
E
E
Rubio-Donnadieu
F
F
Sotelo
J
J
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002493:Central Nervous System Diseases / Q000150:complications / Q000469:parasitology*; D003551:Cysticercosis / Q000150:complications* / Q000175:diagnosis; D004827:Epilepsy / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D014057:Tomography, X-Ray Computed